July 15, 2009

Medical Big Brother

Filed under: health,personal liberty by Victoria Liberty @ 10:56 pm

Bad news - the Democrats’ health reform bill (or as I’d rather call it, their health socialism bill) passed a Senate committee, becoming just one little step closer to passing.

As I explained yesterday, I’m opposed to government-funded health services and extremely opposed to insurance mandates, but there’s another part of the Senate bill that a lot of conservatives don’t mind and that has received relatively little attention, but that I think is anti-liberty and should be fought: the policy of basing insurance prices on how people live their lives.

This Globe article mentions a few examples: EMC gives a 12% health insurancce discount to employees who take a “health risk assessment.” Safeway gives a discount to employees who quit smoking, lose weight, or engage in other healthy behaviors. Right now, companies are only allowed to give a 20% discount for such things, but under the Senate bill that would be increased to 30%, or maybe even 50%.

The article describes such policies as “a potential breakthrough on one of the most controversial elements of healthcare overhaul: how to get Americans to improve their well-being without turning government into a medical version of Big Brother.”

This sums up the crux of the debate between those who believe people need to be protected from themselves, and those who believe in liberty. In my opinion, there is no way to get people to improve their well-being without violating their liberty and becoming Big Brother. Attempting to control what people do is by necessity incompatible with freedom.

For employers to give discounts to people who do things that are considered healthy is equivalent to penalizing people who do things that are considered unhealthy. This is wrong. Employers should have no say over what people do in their private lives outside of work. All that your employer should care about is how you do your job. For this reason, it doesn’t make sense for employers to offer health insurance. Why should your employer care whether you have health insurance or not? Health insurance, if it exists at all, should be a product just like any other, and people should get to decide in the free market whether they want to buy it. Employers are really overstepping their bounds by using prices to control how much people weigh, whether they smoke, what they eat, and how they spend their leisure time. These things are simply none of their business!

In fact, having health insurance at all, even if it is purchased on the free market, creates incentives for people to control each other’s behavior. How you live your life can affect how many health services you need, which, if you have health insurance, affects how much the insurance company pays and therefore how much everybody else pays for their insurance. In this way, your insurance company and fellow customers have an inventive to control what you do, which violates your liberty.

Health insurance, whether paid for by the government, employers, or consumers, creates bad incentives. That’s why I think that ideally, there should be no insurance and people should just pay for each health service they receive. Price ceilings could be implemented to stop prices from being ridiculously high, as they are now. If insurance must exist, then there need to be strict laws that prevent companies from trying to influence people’s behavior, whether through price discrimination, literature, phone calls, or other types of propaganda.

I agree with Obama and the Democrats that the health system needs to be reformed, but I disagree completely about what types of reforms should be implemented. What Americans need is liberty – the ability to make our own decisions without others trying to control our lives.

June 7, 2006

Gay marriage ban defeated

Filed under: culture & social issues by Victoria Liberty @ 8:09 pm

Not surprisingly, the Senate failed to approve a constitutional amendment banning gay marriage. Here’s what the text of the amendment would have been:

“Marriage in the United States shall consist only of the union of a man and a woman. Neither this Constitution, nor the constitution of any State, shall be construed to require that marriage or the legal incidents thereof be conferred upon any union other than the union of a man and a woman.”

I support such an amendment for the most part, but here are the pros and cons:

Reasons to oppose an anti-gay-marriage amendmentt:

  • The amendment is known as the “Marriage Protection Amendment” — I have no desire to protect marriage, as it is an immoral institution that ought to be abolished
  • Supporters of the amendment (including President Bush and Speaker Bill Frist) have made gross comments about how marriage helps to create a moral society and is “the most fundamental institution of civilization”

Reasons to support an anti-gay-marriage amendment:

  • Opponents of the amendment have made statements just as gross as those of its supporters. For example, according to Ted Kennedy, “The Republican leadership is asking us to spend time writing bigotry into the Constitution. A vote for it is a vote against civil unions, against domestic partnership, against all other efforts for states to treat gays and lesbians fairly under the law.” Jack would be rolling in his grave! I can’t believe the Kennedys call themselves Catholic.
  • The U.S.A. needs to have an official policy on marriage. Marriage is an issue of morality, and therefore it should be handled not by the states, but by the federal government.
  • The amendment restricts marriage, and I support allowing as few people as possible to marry. The less marriage, the better! It even seems to ban civil unions too. (Note the phrase, “the legal incidents thereof”!)

So, although I can sort of understand some reasons why people oppose the amendment, I think the Senate made a bad decision. The American people must unite to ban gay marriage once and for all!

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